Individual provider · Type 1 NPI

Glen Ruderman

Mental Health Counselor · Springfield, OR

NPI number 1184481889 Active

Practice location

1705 Centennial Blvd Ste 2
Springfield, OR 97477-3320

Call (541) 818-0009 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XR9085 (OR)

Mental Health Counselor: Definition to come...

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About NPI 1184481889

Glen Ruderman's National Provider Identifier is 1184481889, issued on Feb 29, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Springfield, OR. The record was last updated on Apr 26, 2024.